NEW HOPE
AUTISM CENTER  Bringing a Message of Hope, Information, Support & Resources
to the Community Touched by Autism.

NEW HOPE

AUTISM CENTER 

 Bringing a Message of Hope, Information, Support & Resources
to the Community Touched by Autism.

ALL help is greatly appreciated. Without your help and kindness New Hope Autism Center could not help the community and change lives.

Name: _________________________________________________________________

Address: _______________________________________________________________

Daytime Telephone Best times to call: _______________________________________

Evening Telephone Best times to call: ________________________________________

Email address: ___________________________________________________________

o  Please add my email address to the Volunteer Mailing List

(Your email address is very important; most of our correspondence is done via email. Your address will be used only for NHAC related correspondence; we do not sell or otherwise provide email addresses to any outside parties.)

Occupation: _________________________________________________________

Areas of Expertise: ____________________________________________________

Hobbies: ____________________________________________________________

Interests____________________________________________________________

INTERESTS

Is there a particular type of volunteer work in which you are interested? (Check all that apply)

o  Promotion

o  Working with children with disabilities

o  Events

o  Clerical*

o  No Preference

AVAILABILITY

At what times are you interested in volunteering? (Check all that apply)

o  Am flexible  

o  Weekdays

o  Weekends

o  Days

o  Evenings

There are times during a week that I cannot do volunteer work. _______________________________ _____________________________________________________________________________________

Do you have access to an automobile you can use for volunteer work?

o   No

o   Yes

o   Occasionally

REFERENCES

How did you hear about us?

o  Advertisement

o  Referred by friend/volunteer or

Other_________________________________________________________

Return to New Hope Autism Center 2152 Frontage Road Waite Park, MN 56387 or give to a NHAC board member.  Call 320-223-3404 with any questions.

Thank you                                                                                           

  *If you checked and are asked to do clerical work, I understand that I will be asked to sign a confidentiality form.

When volunteering for NHAC you are not only giving back to the community but you are also giving back to yourself. Life can be as full as you want it to be. We have many opportunities in the community to volunteer.

Some of the things we participate in the community are the autism fairs, community meetings, autism walks, men's groups, siblings groups, and pairing with other organizations in the community dealing with autism.